Individual
KELSEY GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 S UTICA AVE STE 365, TULSA, OK 74104-4004
(918) 728-3354
Mailing address
4705 S 129TH EAST AVE, TULSA, OK 74134-7005
(918) 727-2797
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4527
OK
363A00000X
Physician Assistant
Primary
4527
OK
363A00000X
Physician Assistant
9121468
FL
Other
Enumeration date
09/26/2019
Last updated
07/31/2026
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